# SPRINGFIELD REGIONAL OUTPATIENT SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376228361
- **Authorized official:** KIMBERLY RALSTON (VP REIMBURSEMENT)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 2610 N LIMESTONE ST, SPRINGFIELD, OH 45503-1114
- **Practice address phone:** (937) 390-8310
- **Mailing address:** 2610 N LIMESTONE ST, SPRINGFIELD, OH 45503-1114
- **Mailing address phone:** (937) 390-8310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2023
- **Last updated:** 06/19/2023